Organization Name: | BONNABEL SBHC |
NPI Number: | 1043443682 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BELINDA BENOIT SCHOUEST (DATA COORDINATOR) |
Mailing Address: | 2801 Bruin Drive Kenner |
State: | LA US |
Postal Code: | 70065 |
Phone Number: | 5043036676 |
Fax Number: | 5043036680 |
NPI Enumeration Date: | 08/31/2009 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Student Health |
Taxonomy Definition: |